[Reconstruction after distal gastrectomy].
To select the best reconstruction method after distal gastrectomy, we analyzed the endoscopic features and gastrointestinal quality of life in patients who underwent either Billroth I or Roux-en-Y reconstruction. The Billroth I procedure is simpler, more physiologically normal, and allows easier endoscopic access to the duodenum. Although it is more complex, the Roux-en Y procedure can prevent bile reflux, is safe, and is superior to the Billroth I procedure both functionally and symptomatically. The Roux-en-Y procedure is thus one of the best options after distal gastrectomy. Selection of the reconstruction procedure should be based on clinical evidence.
Katai
Hitoshi
H
Gastric Surgery Division, National Cancer Center Hospital, Tokyo, Japan.
Nunobe
Souya
S
Saka
Makoto
M
Fukagawa
Takeo
T
Sano
Takeshi
T
D000713:Anastomosis, Roux-en-Y; D005743:Gastrectomy / Q000379:methods*; D005763:Gastroenterostomy; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D013274:Stomach Neoplasms / Q000601:surgery